Evidence map›Paper›PMID 34989456›Full record

ArticleNeurourology and urodynamics2022

Incontinence and sleep disturbances in young children: A population-based study.

Alexander von Gontard, Hannah Mattheus, Jana Friese-Jaworsky, Anna-Michaela Moritz, Sigrid Thome-Granz, Sylvia Roozen, Leopold Curfs, Gommert van Koeveringe, Justine Hussong

Open access · hybridAbstract read
In one paragraph

Article in Neurourology and urodynamics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 3 countries.

Alexander von GontardDepartment of Urology, Governor Kremers Centre, Maastricht University Medical Centre, Maastricht, The Netherlands.
Hannah MattheusDepartment of Child and Adolescent Psychiatry, Saarland University Hospital, Homburg, Germany.
Jana Friese-JaworskyDepartment of Child and Adolescent Psychiatry, Saarland University Hospital, Homburg, Germany.
Anna-Michaela MoritzDepartment of Public Health, Saarpfalz Kreis, Homburg, Germany.
Sigrid Thome-GranzDepartment of Public Health, Saarpfalz Kreis, Homburg, Germany.
Sylvia RoozenGovernor Kremers Centre, Maastricht University Medical Centre, Maastricht, The Netherlands.
Leopold CurfsGovernor Kremers Centre, Maastricht University Medical Centre, Maastricht, The Netherlands.
Gommert van KoeveringeDepartment of Urology, Governor Kremers Centre, Maastricht University Medical Centre, Maastricht, The Netherlands.
Justine HussongDepartment of Child and Adolescent Psychiatry, Saarland University Hospital, Homburg, Germany.
Maastricht University Medical Centre · NLSaarland University · DEUniversitätsklinikum des Saarlandes · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsNocturnal enuresis (NE), daytime urinary incontinence (DUI), fecal incontinence (FI), as well as sleep and behavioral problems are common in young children. The aim of this study was to analyze the association of sleep and psychological parameters for all types of incontinence in a representative sample of young children.

methodsSix hundred thirty eight (of 1161) children with a mean age of 5.9 years (50.9% boys) were assessed during their mandatory school entry examination. The participation rate was 55%. Instruments included the Strengths and Difficulties Questionnaire, the Children's Sleep Habits Questionnaire and other clinical questions. Incontinence was diagnosed according to ICCS standards. Constipation was assessed by two questions.

results17.1% of children had at least one type of incontinence, 14.8% had NE, 5.0% DUI, 2.1% FI, and 4.8% were constipated. 6.7% of children had clinically relevant psychological problems. 22.7% of children had sleep problems regularly (5-7 times/week). A wide variety of sleep problems were reported. Children with incontinence were not affected by a higher rate of sleep problems. Children with NE had fewer night wakings and those with constipation fewer parasomnias. Sleep and psychological problems were significantly associated, especially in children with DUI and FI.

conclusionsSleep and behavioral problems are common in young children. Psychological problems have a clear impact on sleep. Young children with incontinence do not have more sleep problems than continent children. Therefore, both sleep and psychological problems should be addressed in young children with incontinence.

Indexed as

Diurnal EnuresisFecal IncontinenceNocturnal EnuresisSleep Wake DisordersChildChild, PreschoolFemaleHumansMaleSleepSurveys and Questionnairesdaytime urinary incontinencefecal incontinencenocturnal enuresispreschool childrenpsychological problemssleep disorders

Identifiers

PMID34989456
PMCPMC9306626
OpenAlexW4206830139

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.